| NPI | 1699280271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000964) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-56961) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2022-04-19 |